Participant_Case_Worksheets_OCT_2023_FINAL

Active Learning Exercises - Overview

• Focus: Determining Patient Vaccination Needs

• Context: Pharmacy-Based Immunization Delivery Certificate Training Program (October 2023)

• © 2023 American Pharmacists Association. All rights reserved.

Instructions for Patients Assessment

• Objective: Work in groups to determine vaccination needs for each patient.

• Approach: Evaluate the patient’s history and vaccination records.

• Patients to Evaluate:

  • Rachel (8-year-old girl)

  • Luke (14-year-old boy)

  • Jeff (43-year-old male)

  • Ginny (68-year-old female)

  • Steve (43-year-old pharmacist)

  • Riley (3-year-old patient)

  • Gavin (3-year-old patient)

• Documentation: Use tables to track vaccination needs, doses, appropriate schedules, and reasons for vaccination refusal, if applicable.

Patient Summaries

Patient 1 - Rachel

• Patient Profile: Healthy 8-year-old girl.

• Vaccination History:

  • Received: Hepatitis B, Rotavirus, DTaP, Hib, PCV13, IPV, MMR, Varicella, Hepatitis A.

• Recommendations:

  • Review CDC childhood vaccination schedule for updates:

    • List vaccines to administer or refuse.

Patient 2 - Luke

• Patient Profile: Healthy 14-year-old boy.

• Vaccination History:

  • Received: Hepatitis B, Rotavirus, DTaP, Hib, PCV13, IPV, MMR, Varicella, Hepatitis A, Influenza.

• Recommendations:

  • Check CDC schedule for necessary adolescent vaccines:

    • Identify required vaccines and schedule.

Patient 3 - Jeff

• Patient Profile: 43-year-old male with psoriatic arthritis (on prednisone and adalimumab).

• Vaccination History:

  • Received: IPV, DTP, MMR, Influenza.

• Recommendations:

  • Follow CDC adult vaccination guidelines:

    • Suggest vaccines needed especially for immunocompromised.

Patient 4 - Ginny

• Patient Profile: 68-year-old female with mild COPD, hypertension, and hypercholesterolemia.

• Vaccination History:

  • Previous vaccinations include childhood series and pneumococcal at age 62.

• Recommendations:

  • Determine appropriate vaccinations considering her age and health status:

    • Reference CDC guidelines for older adults.

Patient 5 - Steve

• Patient Profile: 43-year-old pharmacist, healthy, no chronic medications.

• Vaccination History:

  • Received: DTP, MMR, IPV, yearly Influenza, Hepatitis A 2-dose series, COVID-19 doses.

• Recommendations:

  • Assess any additional vaccines he may need against current public health recommendations.

Patient 6 - Riley

• Patient Profile: 3-year-old up-to-date on COVID-19 vaccinations.

• Vaccination History:

  • Received: DTaP-Hib-IPV, Hepatitis A, Hepatitis B, Influenza, MMR, PCV 13, Rotavirus.

• Recommendations:

  • Confirm any vaccines due based on CDC schedule for a 3-year-old.

Patient 7 - Gavin

• Patient Profile: 3-year-old with asplenia, presenting for well-child visit.

• Vaccination History:

  • Received: DTaP-Hib-IPV, Hepatitis A, Hepatitis B, Influenza, MMR, PCV 13, Rotavirus, COVID-19.

• Recommendations:

  • Verify vaccination needs considering his asplenia and immunocompromised status:

    • Note any additional vaccinations required for asplenic patients.